FORM 1023-EZ for ADEL IOWA KIWANIS CLUB INC

Field Data
EIN 84-4423520
Case Number EO-2020027-000462
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADEL IOWA KIWANIS CLUB INC
Organization’s Mailing Address 1009 MAIN ST
City ADEL
State IA
ZIP 50003
Accounting period End 12
Primary contact name EDWARD FISHMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COURTNEY GOODRICH
PRESIDENT
1009 MAIN ST
ADEL IA 50003

Officer/Director/Trustee Two

LOGAN WILLEMS
TREASURER
1009 MAIN ST
ADEL IA 50003

Officer/Director/Trustee Three

SCOTT HALL
DIRECTOR
1009 MAIN ST
ADEL IA 50003

Officer/Director/Trustee Four

GARY COLWELL
DIRECTOR
1009 MAIN ST
ADEL IA 50003

Officer/Director/Trustee Five

MARK HANTSBARGER
DIRECTOR
1009 MAIN ST
ADEL IA 50003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2019
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name COURTNEY GOODRICH
Signature Title PRESIDENT
Signature Date 1/24/2020

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